(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003286709
Provider Name: SHANE TRAVIS KISER PA-C
Entity Type: Individual
Taxonomy Code: 363A00000X
Specialty: Physician Assistant
License Number: PA2034
Most Important Dates
Enumeration Date: 10/07/2015
Last Updated: 07/31/2019
Provider Practice Location
245 FLEMINGSBURG RD
MOREHEAD
KY
403511015
Practice Location Phone/Fax
Phone: 6067805500
Fax: 6067837281
Provider Mailing Location
245 FLEMINGSBURG RD
MOREHEAD
KY
403511015
Provider Mailing Phone/Fax
Phone: 6067805500
Fax: 6067837281